PAINFUL, DERMATOMAL vesicles, crusted papules,
erosions often in unilateral fashion
VZV goes latent after active infection/vaccination in the ganglia until risk factors cause reactivation of varicella zoster virus
NOT contagious (represents reactivation state) but patients with varicella zoster can transmit chicken pox to those who have never had it
Varicella zoster virus
Lifetime risk of 10-20%
Advancing age immunosuppression Stress!
Clinical Tzanck prep
DFA (distinguish HSV from VZV) Viral Cx
ORAL ANTI-VIRALS ASAP!! (w/I
transmission of varicella (chicken pox)
Prevention with immunization w/ zoster in people > 50y.o.